January 2015

Chris Bath

• Pain around the heel or arch area.


• Trouble standing on the tip toe.


• Swelling around the inside of the ankle.


• Flat look to one or both feet.


• Having your shoes feel uneven when worn.

This year, former Guam resident Eddie Vega, has completed 101 marathons while running barefoot in order to raise awareness and funds for young children in the Philippines and other countries walking around barefoot. Due to his efforts, Vega has raised nearly $12,000 that will provide thousands of shoes for children in third world countries. Barefoot running in marathons was not an intentional choice for the 55 year-old, who initially participated in the activity in order to reduce an injury incurred from previous marathons.  Although Vega has ran in over 100 marathons, he does not believe in being barefoot all of the time and has experienced criticism from avid believers of the barefoot lifestyle. “I do it to create awareness for 300 million kids with no shoes,” he states.

Barefoot running has its own share of benefits and disadvantages. To learn more about this trend, consider speaking to Dr. Kevin H. Lapoff of Lake Worth Podiatry. Dr. Lapoff will explain the facts of barefoot running and help you decide if it’s a practice you’d like to take up.

Barefoot Running
The Impact of Barefoot Running
-Running without shoes changes the motion of your running, as most running is done by landing on the heel of the feet.
-Running barefoot requires a different way of running; the landing is done on the front part of the feet.

The Advantages of Barefoot Running
-When running and landing on the front feet, the impact on the feet and ankle is reduced, this can reduce stress injuries.
-It strengthens muscles in the feet and ankles and the lower legs.
-Balance of the body is improved and there is a greater sensory input from the feet to the rest of the body.

The Drawbacks of Barefoot Running
-No protection while running, makes it likely that runners will land on sharp objects and scrapes, bruises and cuts on the feet will result.
-Blisters may form.
-Possibility of plantar fascia problems.
-Risk of getting Achilles tendonitis.

So what can runners do to make barefoot running safe? It’s best to make a slow transition from running shoes to barefoot running. Once the feet begin to adjust, try walking, then jogging and gradually increasing the distance. Minimalist running shoes may also be an option.

If you have any questions, please contact our office located in Lake Worth, FL. We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Barefoot Running

A new trend in running and jogging has popped up recently, called barefoot running. Barefoot running is a popular and growing trend that is just what it sounds – running without shoes. Before deciding to do any running without shoes, it's best to understand how this kind of running affects the feet.

Running without shoes changes the motion of running. Most running is done by landing on the heel of the feet. Running barefoot requires a different way of running; in a barefoot stride landing is done on the front part of the feet. Because of this, the impact shifts from the heels to the front feet. Runners also shorten their strides to create a softer landing.

Running barefoot does have its advantages. When running and landing on the front feet, the impact on the feet and ankle is reduced, which may reduce the incidence of stress injuries. It strengthens muscles in the feet, and also strengthens muscles in the ankles and lower legs that aren't usually worked. Overall balance of the body is improved and there is greater sensory input from the feet to the rest of the body, making overall position and motion less stressful on the body. It has been found that in countries in which some of the population regularly wear shoes and some do not, numbers of foot and ankle injuries are much higher in those who wear shoes.

People hearing about barefoot running for the first time are skeptical about it, and there are good reasons for skepticism. Running barefoot certainly has its drawbacks, the obvious being no protection of the feet when running. This makes it likely that when runners land on sharp or rough objects,  scrapes, bruises, and cuts on feet will result. Blisters will form when beginning this kind of running especially, you may have plantar fascia problems. Landing on the front feet constantly also increases the risk of getting Achilles tendonitis.

So what can runners do to make barefoot running safe? It’s best to make a slow transition from running shoes to barefoot running. The body is used to wearing shoes so to slowly transition to bare feet, start by walking barefoot for a distance and then increase walking distance. Once the feet begin to adjust, try walking and then jogging and gradually increase the distance. If you have foot problems talk to the doctor first before attempting barefoot running. When starting out, it may also be helpful to begin by running on pavement or other consistent surfaces to avoid sharp or rough objects. Minimalist running shoes may also be an option, as they allow for many of the benefits of barefoot running while also protecting the feet from cuts and scrapes.

Arsenal’s Jack Wilshere suffered ligament damage to his left ankle due to a tackle from a Manchester United player during a recent game. The twenty-two year has to undergo surgery to repair the ligaments in his ankle and will be off the playing ground for nearly three months. Recently Wilshere has suffered a series of similar injuries throughout the season totaling around nearly thirteen injuries. The tremendous amount of injuries has caused some questioning in the strength of his ankles to which the midfielder replied on social media, “Luckily I have ‘loose joints’, not brittle, only damaged ligaments.” As Wilshere recovers from his treatment he will miss many important Premier League games against Liverpool, Manchester City, and Tottenham as well as the last rounds in the Champions League and FA Cup.

No athlete wants to get hurt while playing their sport and suffer any foot or ankle injuries. For assistance with any kind of sports related foot or ankle injury, consult with Dr. Kevin Lapoff of Lake Worth Podiatry. Dr. Lapoff can present you with an ample amount of treatment options and will do everything he can to help you heal.

Sports Related Foot and Ankle Injuries

Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:

• Plantar Fasciitis
• Plantar Fasciosis
• Achilles Tendinitis
• Achilles Tendon Rupture
• Ankle Sprains

Sports-related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.

If you have any questions, please feel free to contact our office located in Lake Worth, FL. We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Sports Related Foot and Ankle Injuries

Foot and ankle injuries are common among people who participate in sports. Several factors contribute to this. They include failing to stretch or warm up properly, not wearing the proper type shoe and not taping or providing other types of support for the ankle or foot. The most common foot and ankle injuries suffered by people involved in sport are plantar fasciitis, ankle sprains and Achilles tendon damage or ruptures. If not treated properly they can lead to permanent disability.

Treating these injuries is relatively simple if they are identified and addressed early. Many athletes dismiss the initial aches and pains associated with injury as just soreness or tired muscles. Their first response is usually to try to work through it. This can lead to serious problems. Many minor injuries are made far more serious when athletes continue to put strain and pressure on them. That attitude can change a mild strain into a serious strain and a minor tear into a rupture. Athletes should have unusual aches and pains evaluated by a skilled, licensed medical professional.

Plantar fasciitis is a painful injury. It is inflammation of the plantar fascia, the thick fibrous band of tissue running from the heel to the base of the toes. Left untreated it can lead to a degenerative disease called plantar fasciosis. There are several effective treatments for this ailment. Doctors often proscribe rest, massages, stretching, night splints, physical therapy, anti-inflammatory medication, corticosteroids or surgery usually in that order. The most effective treatment for plantar fasciitis is orthotics like foot supports. Surgery is occasionally used as a last resort, but it comes with the risk of nerve damage and infection and often does not stop the pain.

The Achilles tendon is the largest tendon in the body. It connects the calf muscles to the heel bone. Running, jumping and walking all impact this tendon. Two common injuries to the Achilles tendon are tendonitis and a rupture of the tendon. Tendonitis is inflammation in the tendon often caused by an increase in the amount and intensity of stress placed on it. It can either be treated non-surgically with rest, ice or anti-inflammatory medication or surgery may be required. A rupture (tear) of the Achilles tendon can be treated by placing the lower leg in a cast for several weeks or with surgery. Many physicians feel surgery is the better option because it lowers the risk of re-ruptures. Both methods require 4 to 6 months of rehabilitation.

Ankle sprains are the most common sports related foot and ankle injury. A sprain occurs when the ligament holding the ankle bones and joint stretches beyond its normal range. It can be treated non-surgically with a combination of rest, ice wrapped around the joint for 30 minutes immediately after injury, compression by a bandage and elevating the ankle above the heart for 48 hours. This combination is referred to as RICE. Severe ankle sprains in which the ligaments are torn may require arthroscopic or reconstructive surgery followed by rehabilitation

Foot surgery may be necessary for a variety of reasons, but it is normally reserved for cases in which less invasive procedures have failed to help with the problem. Cases in which surgery may be deemed necessary include, but are not limited to, surgically removing deformities of the foot (such as bone spurs and bunions), problems with arthritis that have caused severe bone issues within the foot, and reconstruction to attend to injuries caused by accidents and congenital malformation (such as club foot and flat feet). Foot surgery may be necessary for individuals of all ages and races.

If you find yourself in need of foot surgery, the reason why the surgery has been found to be necessary will dictate exactly what kind of surgery you need. If you have to have a growth, such as a bunion, removed, then you may undergo a bunionectomy. If your bones need to be realigned and fused together, then you may undergo a surgical fusion of the foot. If it is nerve pain and problems that you are enduring, then you may need to undergo surgery in which the tissue that surrounds the painful nerve is surgically removed. Normally other, less serious treatments are first applied when a problem is discovered, but if those treatments are found to be ineffective, surgical techniques are considered and used.

Even though surgery of the foot is usually reserved as a last resort by most physicians, there are some benefits if you and your doctor choose to use surgery to fix the problem. The first is that the pain associated with the issue is normally relieved, which means that you can finally resume the activities your foot problem was preventing you from participating in. The second benefit is that, once you have the surgery completed, the problem is generally eliminated since it has finally been addressed.

History of podiatry has shown that foot surgery techniques continue to advance every year. Endoscopic surgery is just one of the many advancements that have been made in the field of foot surgery. As technology improves, foot surgical techniques will also continue to improve. Many procedures can now be completed using a very small incision and smaller, more refined instruments. Because of these better tools, surgeries are becoming less invasive, and recovery time has become a great deal shorter. Shorter recovery periods mean that you will be back on your feet in no time.

Nascar’s Kyle Busch has been suffering from chronic inflammation in his left foot. He recently underwent surgery to resolve the issues in his lower extremity. After his surgery his wife made to social media to show his fans how well the driver was doing post-surgery posting a photo of him playing video games and wearing a boot on the injured foot. She stated, “He’s doing great!” Busch is expected to make a full recovery before the new season starts in February 2015 and will not miss out on any preseason preparation since there will not be any off season testing this year.

Foot surgery is sometimes necessary when non-surgical methods do not work. If you are struggling with a foot or ankle condition, talk to Dr. Kevin Lapoff of Lake Worth Podiatry. Dr. Lapoff can treat your foot and ankle needs.   

When Is Surgery Necessary?
Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to help with the problem. Some of the cases in which surgery may be necessary are:
- Removing foot deformities like bone spurs and bunions
- Severe arthritis that has caused bone issues
- Reconstruction to attend injuries caused by accidents or malformations

What Types of Surgery Are There?
The type of surgery you receive will be dependent on the nature of the problem you have. Some of the possible surgeries include:
- Bunionectomy for painful bunions
- Surgical fusion for realignment of bones
- Nerve removal for painful nerve endings

Benefits of Surgery
Although surgery is usually a last resort, when it is undertaken, if can provide more complete pain relief than before, and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Such techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

If you have any questions, please feel free to contact our office located in Lake Worth, FL. We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Foot Surgery